Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.21 / $5,128.00 / $21,917.86	Facility		$1,519.21	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.31 / $1,050.28 / $2,320.07	Professional		$750.31	$1,050.28	$2,320.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.83 / $1,907.00 / $7,244.40	Professional		$1,170.83	$1,907.00	$7,244.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.16 / $1,481.28 / $2,509.98	Professional		$857.16	$1,481.28	$2,509.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $867.70 / $1,789.78 / $7,292.72	Facility		$867.70	$1,789.78	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $1,707.37 / $6,279.70	Professional		$795.60	$1,707.37	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $435.52 / $1,642.99	Professional		$78.54	$435.52	$1,642.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,168.50 / $1,579.19 / $1,667.63	Facility		$1,168.50	$1,579.19	$1,667.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.77 / $1,137.47 / $6,526.97	Facility		$1,105.77	$1,137.47	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,809.50 / $2,257.77	Professional		$1,269.08	$1,809.50	$2,257.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,127.74 / $1,619.05 / $2,173.60	Professional		$1,127.74	$1,619.05	$2,173.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.49 / $1,302.88 / $2,346.48	Professional		$1,002.49	$1,302.88	$2,346.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $693.21 / $693.21 / $896.82	Professional		$693.21	$693.21	$896.82